A circumscribed ovoid heterogeneous soft tissue mass is present within the left upper quadrant which appears to be arising from the distal duodenum. It has low-density areas within which may represent necrosis. The remainder of the small bowel is unremarkable. Incidental left lobe of liver cysts. Slightly heterogeneous enhancement of the liver is suggestive of right heart failure. No intra-abdominal or pelvic lymphadenopathy. No ascites.
Spleen, pancreas, gallbladder and adrenal glands are unremarkable. Incidental left lower pole renal cyst and bilateral extrarenal pelves. Uncomplicated sigmoid diverticulosis.